Mrs Katherine Rose Ford, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Mendota, Illinois. Her current practice location is
1401 E 12th St, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 343-1925.
Mrs Katherine Rose Ford is licensed to practice in Illinois (license number 041.328911) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073869475.
Physician's Profile
Full Name | Mrs Katherine Rose Ford |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1401 E 12th St, Mendota, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Katherine Rose Ford attended and graduated from in
NPI Data:
- NPI Number: 1073869475
- Provider Enumeration Date: 08/03/2012
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Katherine Rose Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073869475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 209-009634 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041.328911 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katherine Rose Ford is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Katherine Rose Ford, CRNA 1401 E 12th St, Mendota, IL 61342-9216 Ph: (815) 539-1607 | Mrs Katherine Rose Ford, CRNA 1401 E 12th St, Mendota, IL 61342 Ph: (815) 343-1925 |
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